Individual
EMILY DANIELLE SANTILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1055 N 300 W STE 311, PROVO, UT 84604-3373
(385) 477-6800
Mailing address
1614 N 1175 W, LEHI, UT 84043-3501
(801) 615-3795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11293181-4405
UT
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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